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Northwest Health And Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 148
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 03/10/2011

Date of last standard health inspection: 03/10/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 2
Average number of Health Deficiencies in TX: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in TX: 0 - 19
Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/00/2012 01/04/2001 Few complete and organized clinical records on each re
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 02/00/2012 01/04/2001 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/06/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/06/2010 00/04/2011 2 Some
Have a program that investigates 00/06/2010 00/04/2011 Some controls and keeps infection from spreading.

Inspection, 02/03/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 02/03/2009 01/09/2010 Some controls and keeps infection from spreading.

Inspection, 00/02/2009

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug 00/02/2009 01/00/2009 wrong time) to less than 5%. wrong dose

Inspection, 00/03/2008

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 00/03/2008 00/03/2009 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/03/2008 00/03/2009 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/03/2008 00/03/2009 3 Few

Inspection, 01/03/2006

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/03/2006 02/09/2006 2 Some

Inspection, 02/07/2004

Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. 02/07/2004 00/00/0000 1 Many

Inspection, 00/02/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 00/02/2004 00/08/2006 4 Some
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 00/02/2004 00/08/2006 2 Some
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 00/02/2004 00/08/2006 2 Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/02/2004 00/08/2006 2 Some
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 00/02/2004 00/08/2006 4 Some
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 00/02/2004 00/08/2006 2 Some
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 00/02/2004 00/08/2006 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Dispose of garbage and refuse properly. 00/02/2004 00/08/2006 1 Many
Have a program that investigates, controls and keeps infection from spreading. 00/02/2004 00/08/2006 2 Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/02/2004 00/08/2006 2 Few
Dispose of garbage and refuse properly. 00/02/2004 00/08/2006 1 Many
Have a program that investigates 00/02/2004 00/08/2006 Many controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment, neglect and misappropriation of personal property. 00/02/2004 00/08/2006 2 Few
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 00/02/2004 00/08/2006 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. 00/02/2004 00/08/2006 2 Some
Store, cook, and serve food in a safe and clean way. 00/02/2004 00/08/2006 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 00/02/2004 00/08/2006 2 Some
Ensure that residents are safe from serious medication errors. 00/02/2004 00/08/2006 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/02/2004 00/08/2006 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/02/2004 00/08/2006 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/02/2004 00/08/2006 3 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/02/2004 00/08/2006 4 Some
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. 00/02/2004 00/08/2006 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 00/02/2004 00/08/2006 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/02/2004 00/08/2006 2 Few
Develop a complete care plan that meets all the resident's needs 00/02/2004 00/08/2006 Few with timetables and actions that can be measured.
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 00/02/2004 00/08/2006 3 Some
Keep residents' personal and medical records private and confidential. 00/02/2004 00/08/2006 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/02/2004 00/08/2006 2 Some
Immediately tell the resident 00/02/2004 00/08/2006 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 01/01/2003

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 01/01/2003 01/02/2004 Some controls and keeps infection from spreading.

Inspection, 01/00/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 01/00/2003 02/06/2003 2 Some
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 01/00/2003 00/00/0000 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 01/00/2003 02/02/2003 2 Some
Have a program that investigates 01/00/2003 00/00/0000 Some controls and keeps infection from spreading.
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/00/2003 02/02/2003 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/00/2003 00/00/0000 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/00/2003 02/02/2003 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/00/2003 02/02/2003 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/00/2003 00/00/0000 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/00/2003 00/00/0000 2 Some

Inspection, 00/08/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 00/08/2003 00/00/0000 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/08/2003 00/00/0000 2 Few
Have a program that investigates, controls and keeps infection from spreading. 00/08/2003 00/00/0000 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/08/2003 00/00/0000 2 Some
Have a program that investigates 00/08/2003 00/00/0000 Some controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment, neglect and misappropriation of personal property. 00/08/2003 00/00/0000 2 Some
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 00/08/2003 00/00/0000 2 Some
Protect each resident from mistreatment 00/08/2003 00/00/0000 Some neglect and misappropriation of personal property.
1) Hire only people with no legal history of abusing 00/08/2003 00/00/0000 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that special or therapeutic diets are ordered by the attending doctor. 00/08/2003 00/00/0000 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/08/2003 00/00/0000 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 00/08/2003 00/00/0000 2 Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. 00/08/2003 00/00/0000 2 Few
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia 00/08/2003 00/00/0000 vomiting diarrhea
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 00/08/2003 00/00/0000 2 Few
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. 00/08/2003 00/00/0000 2 Few
Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. 00/08/2003 00/00/0000 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 00/08/2003 00/00/0000 2 Some
Try to resolve each resident's complaints quickly. 00/08/2003 00/00/0000 2 Some

Inspection, 00/05/2003

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/05/2003 01/01/2003 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/05/2003 01/01/2003 3 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in TX Golden Living Center, Asheville
RN Staff Only1 N/A N/A 1 out of 5 stars
Total Number of Residents 86 72 121
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 29 hours 19 minutes 1 hour 13 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 28 hours 29 minutes 22 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 29 hours 31 minutes 49 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 30 hours 19 minutes 1 hour 9 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 03/09/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 03/09/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in TX: 1
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in TX: 0 - 1

Inspection, 02/07/2003

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Signs that state that exit doors are to be kept closed. 02/07/2003 02/08/2003 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/07/2003 01/00/2005 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 02/07/2003 02/08/2003 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are free from obstructions and can be used at all times. 02/07/2003 01/00/2005 2 Few
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 02/07/2003 01/00/2005 2 Few

Inspection, 00/09/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A complete sprinkler system with alarm system connection. 00/09/2003 01/00/2003 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 00/09/2003 00/06/2004 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/09/2003 01/00/2003 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/09/2003 00/06/2004 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 00/09/2003 01/00/2003 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 00/09/2003 01/00/2003 2 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/09/2003 03/01/2003 1 Many
Properly installed hallway dispensers for alcohol-based hand rub. 00/09/2003 01/00/2003 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 00/09/2003 01/00/2003 1 Many

Inspection, 00/05/2003

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 00/05/2003 00/07/2004 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/05/2003 00/07/2004 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 00/05/2003 00/07/2004 1 Many
A separate and independent backup electrical power source. 00/05/2003 00/07/2004 1 Many
Properly installed electrical wiring and equipment. 00/05/2003 00/07/2004 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 00/05/2003 00/07/2004 2 Few
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 00/05/2003 00/07/2004 1 Many
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 00/05/2003 00/07/2004 2 Few
 

17600 Cali Dr
Houston, TX 77090

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